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Individual

DR. JOHN LOUIS WALDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
650 SMITHFIELD ST, CENTRE CITY TOWER SUITE 1530, PGH, PA 15222
(412) 391-3322
(412) 391-5430
Mailing address
650 SMITHFIELD ST, CENTRE CITY TOWER SUITE 1530, PGH, PA 15222
(412) 391-3322
(412) 391-5430

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DS-026624-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25-1636953
FEDERAL I.D. NUMBER
PA
01
DS-026624-L
DENTAL LICENSE NUMBER
PA
Enumeration date
10/03/2006
Last updated
03/16/2012
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